Department of Molecular Medicine and Surgery, Karolinska Institutet, 171 76, Stockholm, Sweden.
J Affect Disord. 2010 Sep;125(1-3):249-55. doi: 10.1016/j.jad.2010.02.113. Epub 2010 Mar 12.
Genetic variations in FKBP5, BDNF, P2RX7 and CACNA1 are current candidates for involvement in depression.
The single nucleotide polymorphisms FKBP5:rs1360780, BDNF:rs6265 (Val66Met), P2RX7:2230912 (Gln460Arg) and CACNA1C:rs1006737 were genotyped in DNA from 457 depression cases (major depression, dysthymia, and mixed anxiety depression) and 2286 healthy controls with no symptom of psychopathology. Cases and controls were derived from a large well-characterized longitudinal population-based sample of adult Swedes with data on life situation and life history. Association to depression was analyzed with and without consideration to problems during childhood and negative life events last year.
FKBP5:rs1360780 allele T and genotype TT were overrepresented in depression for men. Childhood problems and negative life events (two or more) conferred a risk for depression (OR=2.8, 95% CI: 2.2-3.5 and OR=2.9, 95% CI: 2.4-3.7, respectively). The BDNF:rs6265 Met-allele was overrepresented in depression for women with problems during their childhood. No indication for association to depression was found for P2RX7:2230912 and CACNA1C:rs1006737 without or with consideration of childhood problems or negative life events.
The sample size did not allow exclusion of true association to depression at low odds ratios. There was possibly some recall bias of childhood problems.
These data support previous reports on FKBP5:rs1360780 and show a gender difference. Likewise, they support previous reports on BDNF:rs6265 and show involvement of environmental stress. P2RX7:2230912 and CACNA1C:rs1006737 did not have a large or moderate-size effect on depression risk. Further studies are required to estimate the significance of these findings.
FKBP5、BDNF、P2RX7 和 CACNA1 中的遗传变异是目前参与抑郁症的候选基因。
在来自无精神病理学症状的 457 例抑郁症病例(重度抑郁症、心境恶劣障碍和混合性焦虑抑郁障碍)和 2286 例健康对照者的 DNA 中,对 FKBP5:rs1360780、BDNF:rs6265(Val66Met)、P2RX7:2230912(Gln460Arg)和 CACNA1C:rs1006737 进行了单核苷酸多态性分析。病例和对照者均来自瑞典一项大型、特征明确的、基于人群的、具有生活状况和生活史数据的成年人纵向样本。分析了不考虑儿童期问题和去年负面生活事件时以及考虑这些因素时,FKBP5:rs1360780 等位基因 T 和 TT 基因型与抑郁症之间的关联。儿童期问题和去年两个或更多的负面生活事件会增加患抑郁症的风险(OR=2.8,95%CI:2.2-3.5 和 OR=2.9,95%CI:2.4-3.7)。BDNF:rs6265 的 Met 等位基因在有儿童期问题的女性中与抑郁症相关。无论是否考虑儿童期问题或负面生活事件,P2RX7:rs2230912 和 CACNA1C:rs1006737 与抑郁症之间均无关联。
样本量不允许排除低比值比与抑郁症的真正关联。可能存在一些对儿童期问题的回忆偏倚。
这些数据支持 FKBP5:rs1360780 的先前报告,并显示出性别差异。同样,它们也支持 BDNF:rs6265 的先前报告,并显示出环境压力的参与。P2RX7:rs2230912 和 CACNA1C:rs1006737 对抑郁症风险的影响不大或中度。需要进一步的研究来估计这些发现的意义。